We will need a photo of your dog for the web site, please keep the file size < 200KB
Please write information about your dog you think is important.
How is your dog with children?
How is your dog with other dogs?
How is your dog with cats?
How is your dog with small animals like rabbits, hamsters, fish, birds etc?
Please select the option that best describes your dog's housebreaking training.
What breed is your dog?
You can provide a second photo if you wish, please keep the file size < 200KB
Please check all that apply to your dog's training.
Please check off all the areas where your dog needs training or has caused troubles
If you live outside of PA, NJ, DE, or MD, you will have to contact us to discuss your situation
Please explain why you must find a new home for your dog.
Tell us more about your dog.
Has your dog ever bitten? If not, please indicate here. If yes, please explain the circumstances.
Please select, keep in mind the longer you can hold, the more likely we can help.
You must validate the information presented here.
Please select the terms that apply to your situation.
Please provide your current vet name, address, and phone number.
When was your dogs last rabies vaccine (month/year)?
When was your dogs last distemper combo vaccine (DHLP, DP, Etc)?
When was your dog last tested for heartworm and what was the result?
List any known medical problems with your dog.
If microchipped, enter number here.
- After clicking on Submit, DO NOT REFRESH or RESUBMIT. You will receive a confirmation message (and email) if you successfully submitted this surrender form. If the form still appears, review for missing Required fields and enter the requested information.